Healthcare Provider Details

I. General information

NPI: 1720763865
Provider Name (Legal Business Name): SALLY ANN PRESS APPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34259 COPPOLA ST
TEMECULA CA
92592-1386
US

IV. Provider business mailing address

24275 JEFFERSON AVE
MURRIETA CA
92562-7285
US

V. Phone/Fax

Practice location:
  • Phone: 619-888-4225
  • Fax:
Mailing address:
  • Phone: 951-677-5599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC19860
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPPC13572
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberAPCC13572
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: